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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00562692
Registration number
NCT00562692
Ethics application status
Date submitted
21/11/2007
Date registered
22/11/2007
Date last updated
25/06/2015
Titles & IDs
Public title
Role of Natriuretic Peptides in the Treatment of Acutely Decompensated Heart Failure Patient With Obstructive Airways Disease
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Scientific title
Role of Natriuretic Peptides in the Treatment of Acutely Decompensated Heart Failure Patient With Obstructive Airways Disease
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Secondary ID [1]
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Project No. 11/06
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Secondary ID [2]
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CP-02/05
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Universal Trial Number (UTN)
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Trial acronym
BNP in OAD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Heart Failure
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Nesiritide
Treatment: Drugs - Placebo
Experimental: A - Nesiritide
Placebo comparator: B - Placebo
Treatment: Drugs: Nesiritide
Nesiritide 4 hour infusion
Treatment: Drugs: Placebo
Placebo infusion
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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To compare the need for and the length of time patients require non invasive ventilation when treated with nesiritide vs placebo.
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Assessment method [1]
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Timepoint [1]
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24 hours
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Secondary outcome [1]
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dyspnoea score respiratory rate FEV1 PEFR requirement for concomitant bronchodilator therapy BNP
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Assessment method [1]
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Timepoint [1]
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24 hours
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Eligibility
Key inclusion criteria
1. Males and females
2. Over 18 years of age
3. Confirmed written informed consent.
4. Acute decompensated heart failure based on physicians assessment and requiring treatment as per standard emergency department protocols for this condition.
5. Requirement for intravenous therapy of HF, e.g. diuretic, vasodilator.
6. COAD based on physician's assessment and requiring treatment as per standard emergency department protocols for this condition. Must have at least 2 of the following criteria:
* history of smoking > 20 pack years,
* prior history of PFTs within last 1 year consistent with COAD,
* history of chronic cough and sputum production,
* progressive dyspnea, episodes of acute bronchitis over at least 2 yrs
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Women lactating, pregnant or of childbearing potential not using 2 reliable contraceptive methods.
2. Patients who had received an investigational new drug within the last 4 weeks.
3. Patients with a history of a psychological illness or condition such as to interfere with the patient's ability to understand the requirements of the study.
4. SBP <90mmHg
5. Creatinine >0.25mmol/L
6. Sp02 < 80% on supplemental oxygen or known cor pulmonale with TR
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/09/2009
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Sample size
Target
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Accrual to date
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Final
6
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Alfred Hospital - Melbourne
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Alfred
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Janssen-Cilag Pty Ltd
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Brain natriuretic peptide (BNP) is a useful therapy when treating patients with heart failure. As many of these patients also have airways disease it is important to determine if BNP also has a positive effect on their respiratory condition. The role of BNP in airways disease has never been studied although there is evidence to suggest that it will have a positive effect. The current study is therefore a proof on concept study which will demonstrate whether BNP (nesiritide) will improve both heart failure and airflow obstruction in patient who have both. The investigators are looking to enroll 40 patients with heart failure and airways disease who present to hospital emergency departments. Patients who consent and meet the entry criteria will be randomised to receive either nesiritide or placebo in addition to standard therapy. They will receive a bolus of study medication followed by a 4 hour infusion. Before, at hourly intervals and immediately following the infusion the following data will be collected: * dyspnoea score * respiratory rate * FEV1 (if able to be performed) * peak respiratory flow rates (PEFR, if able to be performed) * requirement for concomitant bronchodilator therapy * urinary GMP At all times during the study period and at the conclusion of the study patients will be provided with the best available therapy for their condition at the physicians' discretion.
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Trial website
https://clinicaltrials.gov/study/NCT00562692
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Henry Krum, MBBS FRACP PhD
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Address
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Monash University / Alfred Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00562692
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